Individual
TUWANESHA MARION-MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
424 S 24TH ST APT 204, OMAHA, NE 68102-2428
(402) 507-0258
Mailing address
424 S 24TH ST APT 204, OMAHA, NE 68102-2428
(402) 507-0258
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/01/2025
Last updated
05/01/2025
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